The evaluation of relationship between passive smoking and recurrent episodes of bronchiolitis in children under two-years old

Abstract

Objective: Recurrent episodes of wheezing are more common in infants especially with low socioeconomic status who are exposed to smoking, who are not breastfed and lives in crowded families.

Material and Methods: This study was performed prospectively with infants diagnosed as first attack bronchiolitis from the outpatient clinics between 2009 to 2011.

Results: The study included 500 infants aged between 1-24 months. Cigarette smoking was present in 46,6% (n=233) of the families. There was a significant relationship between recurrent episodes of bronchiolitis and exposure to cigarette smoke (p<0,001).

Conclusion: In this study, exposure to cigarette smoke was detected as a risk factor for recurrent episodes of bronchiolitis. The decrease of smoking in the population can prevent recurrence of bronchiolitis.

Keywords

• bronchiolitis
• smoking
• infant

İki yaş altı Çocuklarda Sigara Maruziyeti ve Tekrarlayan Bronşiyolit Atakları Arasındaki İlişkinin İncelenmesi

Öz

Giriş: Tekrarlayan hışıltı atakları özellikle sosyoekonomik düzeyi düşük olan ailelerde, kalabalık ortamda yaşayan, sigara dumanına maruz kalan ve anne sütü alamayan bebeklerde daha sık olarak görülür.

Materyal ve Method: Bu çalışma 2009-2011 tarihleri arasında, Çocuk Sağlığı ve Hastalıkları Kliniği'ne başvurup ilk atak bronşiyolit tanısı alan hastalarda prospektif olarak yapıldı.

Sonuçlar: Çalışmaya yaşları 1-24 ay arası toplam 500 infant dahil edildi. Evde sigara kullanımı hastaların %46,6’sında (n=233) mevcuttu. Tekrarlayan bronşiyolit atağı geçiren çocukların, evde sigara maruziyet oranları istatistiksel olarak anlamlı derecede yüksek saptandı (p<0,001).

Tartışma: Çalışmamızda, sigara maruziyeti tekrarlayan hışıltı atakları açısından risk faktörü olarak bulundu. Sigara dumanına maruziyet azaltılarak tekrarlayan akut bronşiyolit ataklarının azaltılabileceğini düşünmekteyiz.

Anahtar Kelimeler

• bronşiyolit
• sigara
• sütçocuğu

Kaynakça

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